Day :
- Aesthetic Non-Surgical Procedures | Skin Rejuvenation and Resurfacing | Managing Hair Loss | Aesthetic Surgical Procedures
Location: Salon V
Chair
Vincent Wong
Dr Vincent Wong Skincare, UK
Session Introduction
Natasa Ihan Hren
University of Ljubljana, Slovenia
Title: Contemporary surgical treatment of dentofacial deformities
Time : 11:55-12:25
Biography:
Abstract:
Smilja Tudzarova Gjorgova
Saints Cyril and Methodius University of Skopje, Macedonia
Title: Use of lipofilling, plasma rich platelet and fi llers as augments to standard esthetic surgical operations
Time : 12:25-12:55
Biography:
Abstract:
Introduction & Aim: What is it that makes a face look beautiful? Throughout history each human culture has defined the ideal beauty in its own way. This ideal has never been constant and is still subject to change. The process of ageing is a natural process, and we as surgeons often alter this natural process. This concept of facial image beauty is dependent on our senses and the development of tridimensional image that patients develop for themselves after an esthetic surgical intervention.
Methodology & Results: We reviewed results from surgical interventions in 162 patients operated at our University Clinic for Plastic Reconstructive Surgery during 2013 to 2016 that underwent rhinoplasty (92 patients: 52 female, 40 male), blepharoplasty (54 patients: 35 female, 19 male), and cheiloplasty (16 patients: all female). Our patients were between 30 and 65 years of age (mean age of 42.7 years). The majority of the patients were treated with lipofilling (113, 69.7%), use of Plasma Rich Platelet Implant in 9 patients (5.6%) and the use of fillers in 40 patients (24.7%). Lipofilling was performed with harvesting abdominal fat with liposuction and then reinjecting it at the target area. Plasma Rich Platelets were prepared locally in our laboratory, and the fillers used are those that are commercially available preparations. Our results have shown the with the use of fillers overcorrection has to be repeated every 9 months, With PRP overcorrection should be repeated after 4 months, and with lipofilling the first overcorrection is performed after 6 months and then after 1 and ½ year.
Conclusion: We feel that lipofilling yields the best visual effect by providing best texture to the skin and a more lasting effect. This procedure also requires the use of most resources. Locally, PRP provides an inexpensive method for augmenting Standard Esthetic Surgical Operations, while the employment of fillers gives rise to an immediate visual effect. All methods will provide satisfactory augmentation of Esthetic Surgical Operations and their use should be individualized.
Jasmina Gjorgievska
Saints Cyril and Methodius University of Skopje, Macedonia
Title: Girls new trophy and mammy’s new breasts
Time : 13:55-14:25
Biography:
Abstract:
Tzachi Shelkovitz
Chaim Sheba Medical Center, Israel
Title: Platelet rich plasma treatment for hair loss
Time : 14:25-14:55
Biography:
Tzachi Born in 1958.Graduated from the Tel Aviv University Sackler School of Medicine. Specialized in dermatology and venereology at the Department of Dermatology, Chaim Sheba Medical Center, Tel Hashomer. Attended advanced studies in aesthetic dermatology at the University of San-Francisco, California. Teaches and supervises medical students, dermatology interns and general practitioners in several dermatology and dermatologic surgery programs at Tel Aviv University, various dermatology departments and HMOs.
Abstract:
Amit Luthra
Ishira Skin Clinic, India
Title: What comes after: Post procedure modalities
Time : 14:55-15:25
Biography:
Amit Luthra is a dermatologist in Ishira skin clinc and he has a good amount of practical experience in performing procedures like injectables, lasers, chemical peels and cutaneous surgeries in India. In this article, he has tried to bring forth the often neglected aspect of post procedure modalities. These, if followed can alter the adverse outcomes of some of these fairly risky procedures, especially in skin of color.
Abstract:
Introduction: Cosmetic dermatology procedures are on the rise with adverse events being reported quite often, especially in skin of color. A number of these adverse events can be avoided by proper post procedure instructions and compliance by the patients.
Methodology: Post procedure instructions for injectables, lasers, chemical peels and cutaneous surgeries have been detailed out with special reference to bruising and Post Inflammatory Hyperpigmentation (PIH). Role of bruise preventing agents such as Arnica and Bromelain has also been discussed.
Results: Bruising post injectables, PIH after peels and lasers and adverse outcomes of all procedures need simple instructions and clear understandings to prevent them from happening.
Conclusion: Skin of color patients do need proper care post procedure as do others. A good percentage of these adverse events are avoidable, if the patients and the physicians are aware and lay emphasis on what comes after the actual procedure.
Vincent Wong
Dr Vincent Wong Skincare, UK
Title: 23XY lift: Male facial enhancement with dermal fi llers
Time : 15:25-15:55
Biography:
Dr. Vincent Wong is an established aesthetics doctor, trainer and author based in London. He is Save Face accredited and has won several awards for his work. As a Key Opinion Leader, he has headlined a number of national campaigns within the aesthetics industry and publishes scientific papers on a regular basis. Recognized as a pioneer in his field, Dr. Vincent has also been featured in popular press, radio and TV channels
Abstract:
Introduction: Facial attractiveness is characterized by a combination of factors that involve symmetry and proportions that are deemed aesthetically pleasing. Sexual dimorphism (the phenotypic differences between the sexes of the same species) is often less obvious when it comes to facial structure. However, the approach to male aesthetics is different to that of female. Hence it is of utmost importance that we understand sexual dimorphism and have a profound appreciation of male and female beauty. Materials & Methods: The 23XY Lift describes the injection techniques of dermal fillers into the 7 zones of the male face where volume deficiencies are commonly found. The 7 zones are:
1. Temple
2. Cheek
3. Under Eye Area
4. Alar Base
5. Corner of Mouth
6. Chin
7. Angle of the Jaw
Conclusion: When it comes to male facial aesthetics, the 23XY Lift can help enhance the masculinity of the visage while minimizing the risks of complications and feminization of the face. Here, we discuss the 7 regions of the male face that can be treated using a step-by-step approach. These techniques are used widely within the aesthetics industry and are considered safe. However, it is important to bear in mind that this chapter acts purely as a guide, and there are various other techniques available for the same regions. Practitioner’s skills and experience also play a vital role in the final outcome of treatments, therefore, we strongly recommend using this guide as an adjunct to your advanced aesthetics training.
Dinko Kaliterna
Polyclinic Poliderma, Zagreb
Title: Can the cream replace the lasers to treat melasma?
Time : 16:15-16:45
Biography:
Dinko Kaliterna was born in 1971 in Split, where he finished medical high school. He enrolled to Faculty of Medicine in Zagreb in 1990, and graduated in 1996. He then spends his internship working in K.B. Merkur in Zagreb and after finalizing his state examination in 1997 he goes to finish his military service which he spent working as a medic. After returning from the army, by the end of 1998, he spends 8 months in surgical units in several hospitals in Zagreb where he performs minor aesthetic-corrective procedures.
Abstract:
Melasma is very common refractory esthetic problem which is hard to resolve. It is common among women but men are also affected. Typically melasma recurs even after the treatment and it gets worse during summers. There are many different treatments to treat melasma but the lasers are the most effective. Mostly it takes 3 to 5 sessions with the lasers but there is limitation for laser treatment and many people can’t afford it. The market is saturated with the creams for hyperpigmentation which are mostly limited with bad results, such as irritation. These creams cannot be used during the summer and it takes a long time to see some results. We want to represent the cream based on resorcinol derivatives which gives results which can be compared with lasers or give even better results. The results can be seen in less than 30 days which is much faster than any laser. It seems that now we have very effective cream for the melasma. Acne is the most common dermatological disease. Typically acne resolves but very often the scars develop. There are many different treatments for acne scars. The scar can’t be 100% removed but due to the latest technology like fractional lasers we achieve mostly very good results. Typically it takes 3 to 5 sessions with the down time and some side effects. Unfortunately many people can’t afford those treatments. The only effective alternative for the acne scars is the cream based on the resorcinol derivatives. This is a first cream for the treatment of acne scars. The first results are seen in less than 30 days. The cream can’t replace the lasers but gives the results which are comparable with laser treatments. The new treatment for the buttock shaping Today the treatment for the buttock shaping are extremely popular, especially in Brazil. For that purpose the fat or implants are mostly used. The limit of those treatments is that banana fold is not affected. That area is the most refractory for any treatment. Even professional models and dancers have problem with that area regarding the shape and skin laxity. Until recently there was no any effective treatment for the banan fold. We want to represent the device based on radio frequency which uses canila to warm the connective tissue and destroy the fat under the skin. With the infrared camera and on the tip of the canila we measure the temperature which we adjust. Only 1 session is enough, there are no brusies and the results are longlasting.
Nataliia Gaidash
TriActive Clinic, Russia
Title: Complication after laser and EBD in clinical practice
Time : 16:45-17:15
Biography:
Nataliia Gaidash has completed her MD and PhD. She is a Dermatovenerologist, and Cosmetologist specialist in laser and EbD technologies, Chief Editor of the Journal, Apparatus Cosmetology. She was also the Director at TriActive Clinic, Moscow. She has been an Aesthetic and Dermatology Physician. She is a regular lecturer and committee member at both international and national congresses and is involved in a number of research programmes & publications. She is a member of American Academy of Dermatology (AAD), American Society for Laser Medicine and Surgery (ASLMS), European Academy of Dermatology and Venerology (EADV), InternationalSocietof Dermatology (ISD), European Medical Laser Association (EMLA), International Society of Dermatoscopy (IDS) and Russian Society of Aesthetic Medicine.
Abstract:
Statement of the Problem: The use of high Energy Based Devices [laser, intense pulsed light (IPL), RF, HIFU US] is booming in aesthetic practice. And, of course, with the growth of these activities the number of side effects and complications is increasing. Most often, these cases are associated with a breach of protocols of the performed procedures and with the wrong before & after treatment customer's care.
Methodology & Theoretical Orientation: We made analysis of complications based on the patient’s photos, statistics and patient satisfaction with descriptions of the procedures.
Findings: Post-treatment erythema is the most common side effect of those methods. Recent developments in high energy sources technologies have aimed at minimizing thermal damage to the dermis. We present a case, impressionably demonstrating that high-energy devices demand profound knowledge of its mechanism of action and can cause severe harm in the absence of basic knowledge. Nevertheless, complications have to be clearly distinguished from professional errors.
Conclusion & Significance: This report provides the highlights of how to minimize these complications, to manage statistical reports of risks for the relevant physicians to show less side effects and more consistent clinical results.
Nataliia Gaidash
TriActive Clinic, Russia
Title: Complication after laser and EBD in clinical practice
Biography:
Nataliia Gaidash has completed her MD and PhD. She is a Dermatovenerologist, and Cosmetologist specialist in laser and EbD technologies, Chief Editor of the Journal, Apparatus Cosmetology. She was also the Director at TriActive Clinic, Moscow. She has been an Aesthetic and Dermatology Physician. She is a regular lecturer and committee member at both international and national congresses and is involved in a number of research programmes & publications. She is a member of American Academy of Dermatology (AAD), American Society for Laser Medicine and Surgery (ASLMS), European Academy of Dermatology and Venerology (EADV), InternationalSocietof Dermatology (ISD), European Medical Laser Association (EMLA), International Society of Dermatoscopy (IDS) and Russian Society of Aesthetic Medicine.
Abstract:
Statement of the Problem: The use of high Energy Based Devices [laser, intense pulsed light (IPL), RF, HIFU US] is booming in aesthetic practice. And, of course, with the growth of these activities the number of side effects and complications is increasing. Most often, these cases are associated with a breach of protocols of the performed procedures and with the wrong before & after treatment customer's care.
Methodology & Theoretical Orientation: We made analysis of complications based on the patient’s photos, statistics and patient satisfaction with descriptions of the procedures.
Findings: Post-treatment erythema is the most common side effect of those methods. Recent developments in high energy sources technologies have aimed at minimizing thermal damage to the dermis. We present a case, impressionably demonstrating that high-energy devices demand profound knowledge of its mechanism of action and can cause severe harm in the absence of basic knowledge. Nevertheless, complications have to be clearly distinguished from professional errors.
Conclusion & Significance: This report provides the highlights of how to minimize these complications, to manage statistical reports of risks for the relevant physicians to show less side effects and more consistent clinical results.
Nataliia Gaidash
TriActive Clinic, Russia
Title: Complication after laser and EBD in clinical practice
Biography:
Nataliia Gaidash has completed her MD and PhD. She is a Dermatovenerologist, and Cosmetologist specialist in laser and EbD technologies, Chief Editor of the Journal, Apparatus Cosmetology. She was also the Director at TriActive Clinic, Moscow. She has been an Aesthetic and Dermatology Physician. She is a regular lecturer and committee member at both international and national congresses and is involved in a number of research programmes & publications. She is a member of American Academy of Dermatology (AAD), American Society for Laser Medicine and Surgery (ASLMS), European Academy of Dermatology and Venerology (EADV), InternationalSocietof Dermatology (ISD), European Medical Laser Association (EMLA), International Society of Dermatoscopy (IDS) and Russian Society of Aesthetic Medicine.
Abstract:
Statement of the Problem: The use of high Energy Based Devices [laser, intense pulsed light (IPL), RF, HIFU US] is booming in aesthetic practice. And, of course, with the growth of these activities the number of side effects and complications is increasing. Most often, these cases are associated with a breach of protocols of the performed procedures and with the wrong before & after treatment customer's care.
Methodology & Theoretical Orientation: We made analysis of complications based on the patient’s photos, statistics and patient satisfaction with descriptions of the procedures.
Findings: Post-treatment erythema is the most common side effect of those methods. Recent developments in high energy sources technologies have aimed at minimizing thermal damage to the dermis. We present a case, impressionably demonstrating that high-energy devices demand profound knowledge of its mechanism of action and can cause severe harm in the absence of basic knowledge. Nevertheless, complications have to be clearly distinguished from professional errors.
Conclusion & Significance: This report provides the highlights of how to minimize these complications, to manage statistical reports of risks for the relevant physicians to show less side effects and more consistent clinical results.
- Cosmetic Dermatology | Aesthetic Surgical Procedures | Alopecia | Skin Rejuvenation and Resurfacing
Location: Salon V
Chair
Alaa Gheita
Cairo University, Egypt
Session Introduction
Anu T Singh
Dabur Research Foundation, India
Title: Development of novel hair growth promoters addressing various forms of Alopecia
Time : 10:25-10:55
Biography:
Anu T Singh has completed her PhD in tumor biology from All India Institute of Medical Science, Delhi and postdoctoral research from National Institute of Immunology, Delhi. She is the Vice President of Dabur Research Foundation (DRF). She has published and presented more than 40 research papers in peer reviewed journals & scientific meetings. She has extensive experience in the area of hair biology and screening of variety of hair products. DRF provides a range of Research Solutions in Pre-clinical Biology to national and international pharmaceutical & biotechnology companies with a comprehensive range of services for pharmacological, biological and analytical testing in therapeutic areas such as Oncology, Metabolic diseases, Inflammation, Immunomodulation, Dermatology and Gastric diseases. A comprehensive range of screening assays for studying the hair biology has been developed.
Abstract:
The hair growth cycle consists of 3 phases: growth phase (anagen phase), regression phase (catagen) and resting phase (telogen). The Dermal Papilla (DP) is the main mesenchymal component of hair follicle, which plays important role in induction of new hair-follicles and maintenance of hair growth.
Alopecia (hair loss) is a common hair disorder, especially in males. Androgens, nutritional deficiency, genetic factors, age, stress and environmental conditions contribute to alopecia. Finasteride and Minoxidil have been approved for the treatment of hair loss by the US FDA. However, the drugs have limited and transient effects, with unpredictable efficacy and side effects.
Hence, development of novel effective cosmeceuticals to prevent hair loss and enhance hair growth is an unmet need. Herbal hair growth promoters have been investigated for hair growth promoting effects. The development of potent hair growth promoters from natural ingredients has been impeded by lack of models predictive of hair growth in humans.
At Dabur Research Foundation India (DRF), we have developed a repertoire of validated screening models to assess activities of products for hair growth promotion (Figure 1). We have investigated the hair growth promoting potential of plant extracts, Androgen receptor downregulators, peptides, and growth factors secreted by human stem cells in validated rodent based models. These models are optimized to quantitate hair growth as well as the improvement in hair quality, strength & colour.
Further we have worked with in vitro and ex vivo assays that suitably represent the characteristic features of hair follicle. We have tested hair growth promoting efficacy of plant actives, herbal extracts and oils using DPCs. Whole hair organ cultures were generated to evaluate the efficacies of marketed formulations, hair oils and plant actives.
The multiparametric strategy developed at DRF for development of potent hair growth promoters along with the case studies will be discussed.
Manu Jaggi
Dabur research foundation, India
Title: Development of novel products for improvement of skin health
Time : 11:15-11:45
Biography:
Manu Jaggi holds a Doctorate in Cancer Biology from National Institute of Immunology, Delhi and has completed his Master’s in Pharmaceutical Sciences. He is the Chief Scientific Officer of Dabur Research Foundation (DRF). He has extensive experience in the area of skin-care biology and screening of variety of cosmeceutical agents. DRF provides a range of research solutions in preclinical biology to national and international pharmaceutical & biotechnology companies with a comprehensive range of services for pharmacological, biological and analytical testing in therapeutic areas such as Oncology, Metabolic Diseases, Inflammation, Immunomodulation, Dermatology, Hair Biology and Gastric Diseases. He holds more than 100 patents and has published and presented more than 150 research papers in peer reviewed journals & scientific meetings. A comprehensive range of screening assays for studying the skin-health and anti-aging potential has been developed.
Abstract:
The human skin is the largest organ of the integumentary system. Unhealthy or aged skin is related to many factors such as oxidative stress, loss of moisture, inflammation and degradation of proteins. With aging, there is a misbalance between the skin cells turnover and degradation of Extracellular Matrix (ECM), comprising of collagen, elastin, Hyaluronic acid (HA) and Matrix Metalloproteinase (MMPs). This results into the dermis getting thinner and reduction of skin tone and elasticity, leading to fine lines, wrinkles, blemishes, age spots and unhealthy skin. UV induced damage also results in the deleterious effects on skin, resulting into dull and wrinkled skin. Increased sebum production and skin inflammation caused by P. acnes contributes to acne. Since 2009, animal testing has been banned on chemicals to be used in cosmetics. This has facilitated the development of cell based screening models to assess anti-aging and skin health promoting potential of new cosmeceutical products. At Dabur Research Foundation (DRF) India, we have developed a panel of validated screening models to evaluate effects of novel cosmeceutical agents on human skin equivalent cell lines (Figure 1). The potential of various test items such as plant extracts, peptides, growth factors secreted by human stem cells, multivitamin complexes and essentials oils were investigated on key skin cells such as, fibroblasts, keratinocytes, melanocytes and sebocytes. Levels of collagen, elastin and HA in fibroblasts, anti-oxidant and anti-inflammatory properties in keratinocytes were examined for anti-aging potential. Further, sebostatic potential in human sebocytes and anti-blemish/skin-whitening properties in melanocytes were evaluated. The safety of test agents is tested using fibroblasts/keratinocytes and further confirmed in 3-D skin models. The multiparametric strategy developed at DRF for development of cosmeceutical products along with the case studies will be discussed.
Mohsen Naraghi
Tehran University, Iran
Title: Pearls and pitfalls in the Middle Eastern aesthetic rhinoplasty
Biography:
Mohsen Naraghi is a double-board certified Facial Plastic and Reconstructive Surgeon who was the winner of the International Award of the American Rhinologic Society (ARS) in 2005. He was also granted the International Award for Excellence in Medical Sciences in the innovation in Clinical Medicine during 2011. He was awarded the American Academy of Otolaryngology—Head and Neck Surgery Honor Award in recognition of his distinguished service on committees, scientific programs, continuing education courses and instruction courses to the Academy in 2015. He was also awarded Committee Excellence Award for his distinguished services on the humanitarian efforts committee of the American Academy of Otolaryngology—Head and Neck Surgery in 2016. Being an active member of both the American Academy of Facial Plastic Reconstructive Surgery and the American Academy of Cosmetic Surgery, he is also a fellow of the American Rhinology Society. He is the author of more than 300 articles and chapters in Rhinology and Facial Plastic Surgery including a two-volume comprehensive rhinology university textbook. His other title “Facial Plastic Surgery” was awarded as the country’s best academic book of the year in 2007.
Abstract:
The objectives of the present study are to: 1) Know the anatomic characteristics of the Middle Eastern noses, 2) Identify risk factors and pitfalls in Middle Eastern rhinoplasty, and 3) Select the best technique for each type of Middle Eastern nose. There are many factors in the nose structure that make Middle Eastern rhinoplasty as a difficult rhinoplasty procedure. Heavy, thick skin and weak cartilage support are the important parameters in the noses of this region of the world. These factors make noses to show characteristics including: Wide and large nose, long nose, drooping nose, acute nose-lip angle, deep nasal root angle and prominent arching nose. This is very important for surgeons to avoid making unnatural looks and negative influences of the operated appearance of the nose on other parts of the face. The principle of structural augmentation and making support, especially in the base of the nose is of great importance to avoid complications in the Middle Eastern noses. Indeed most patients with Middle East noses have deficiency in structural support. By the exact evaluation and facial analysis, it will be revealed that many humps are not totally excessive, and some part of the hump is evident because of the deficiency in the root and base of the nose. The false effect of inadequate projection of the nasal base is a common cause of surgical mistakes in the Middle East noses. It could be prevented by starting the correction of the nose from the base and continuing to the upper parts of the nose. In this presentation, several other important mistakes in surgery of the Middle Eastern noses will be addressed, including caudal septum, upper lateral cartilage and alar base.
Alaa Gheita
Cairo University, Egypt
Title: Face and neck rejuvenation in our way: The SMAS and ancillary procedure in face lift
Time : 12:15-12:45
Biography:
Alaa Gheita, Emeritus Professor of Plastic and Reconstructive Surgery Faculty of Medicine Cairo University Egypt .Egypt National Award of Medical Science1987 . Honorary President Aesthetic Academy of Egypt, Ex IPRAS Exco Board member 1995-2003, ISAPS National Secretary for Egypt 2004-2011, Former President Egyptian Society of Plastic Surgeons, Founder African Section in IPRAS, Honorary member French Society of Plastic Surgery. Editorial board of Aesthetic Surgery Journal and French Plastic Surgery Journal, Publications on Mammoplasty, Facial rejuvenation, Rhinoplasty, Hypertelorism, Craniosynostosis, Liposuction, Abdominoplasty and others.
Abstract:
Introduction: In recent years a multitude of manoeuvres has been introduced in face lifting procedures, claiming a better aesthetic result and a longer lasting effect. One of the most important and maybe the most revolutionary was the SMAS procedure following the anatomical description by the tessier group in 1974 of the musculo aponeurotic attachment of the subcutaneous facial layers of the face and neck. The author presents his way of SMAS cautery and some ancillary procedure on the face and neck lift to improve on the final results of facial rejuvenation.